DREPTURI BNETI - CHENZINA I (EXTRAS)
DREPTURI BNETI - CHENZINA I (EXTRAS)
NUMR |_|_|_|_|_|_|_|_|_| (LLAA MARCA)
NUMELE I PRENUMELE ............................
____________________________________________________________
| Specificaie, drepturi/obligaii | SUMA |
|______________________________________________|_____________|
| 1. Avans | |
|______________________________________________|_____________|
| 2. Premii | |
|______________________________________________|_____________|
| 3. Concedii | |
|______________________________________________|_____________|
| 4. Alte drepturi | |
|______________________________________________|_____________|
| 5. Total de plat | |
|______________________________________________|_____________|
ntocmit, Verificat,
Primit suma ...........
